Individual
NANCY FISCO MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10130 MALLARD CREEK RD, CHARLOTTE, NC 28262-6000
(704) 549-9550
Mailing address
11132 STONEPATH LN, CHARLOTTE, NC 28277-0119
(614) 361-2984
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L004602
NC
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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